How Can Technology Improve Acetabular and Pelvic Fractures Management in the Operating Room? A Systematic Review.

In recent years, there has been a proliferation of literature describing new technologies increasingly integrated into the surgical management of pelvic fractures. However, the available data are heterogeneous, scattered, and sometimes limited to small series or single-center studies. This review aims to present new technologies in the field of pelvic and acetabular fractures and explore their potential benefits for surgeons and patients. The goal is to describe current concepts, advantages, and limitations and to open a discussion about future use and development. The search was conducted through Medline, Central and Embase databases from inception to January 2025 following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) protocol. A total of 841 records were reviewed and 115 studies were included according to the inclusion and exclusion criteria. Technologies such as robotics, navigation, patient-specific management, and 3D printing are being developed for the management of pelvic injuries. These technologies demonstrate greater surgical accuracy without increasing complications. In pelvic and acetabular fractures surgery, new technologies are very attractive and are a promising help for management of these complex injuries and need to be improved before being included in routine care.